Yet her op-ed doesn’t provide all the information one would need to fully appraise her insurance situation. She doesn’t divulge her premium for the UnitedHealth plan which is being withdrawn--she just says it’s “affordable”--or its deductibles or out-of-pocket maximums, or whether her doctors are all within its approved network or out. She doesn’t say whether UniHealth has raised her premiums since she first got the policy in 2005, or if it has, by how much. She doesn’t reveal her income, though it’s reasonable to assume that it might be too high to make her eligible for premium subsidies.
It’s unclear whether her current insurance is a catastrophic coverage policy, as she’s called it sometimes, or a standard PPO. She did say in an earlier interview that she and her husband have paid tens of thousands of dollars from their own pockets for her treatment, and in her op-ed she says UnitedHealth has forked over $1.2 million. Nor is it clear from the text that she would be paying higher premiums next year than she does now. (Her article seems to say only that she's found health plans outside the exchange that are costlier than plans offered by the exchange, but not how they compare with her current premiums.)
All that is the minimum one needs to know to understand the difference between what she's had up to now and what she can get for 2014 and beyond. I called Sundby to try to fill in these blanks, but she hasn’t gotten back to me. If she does, I’ll let you know.
But here’s what we do know today.
UnitedHealth alerted Sundby way back in January that it was pulling out of the California individual insurance market entirely. An inescapable question is whether it did so because of Obamacare, or whether it’s just using Obamacare as an excuse to do something it was itching to do anyway. UnitedHealth’s own statements point to the latter.
The firm informed investors of its decision in May, when it announced it would exit the individual market in all but a dozen states. Since Obamacare’s coverage standards are the same in all states, plainly it wasn’t Obamacare—or Obamacare alone--that prompted its departure from California.